摘要
目的观察臭氧治疗腰椎间盘突出症疗效。方法104例患者经CT或MRI检查证实为腰椎间盘突出症。临床主要表现为腰背部及下肢疼痛或麻木,全部病例共144个病变椎间盘。透视下采用21G穿刺针穿刺病变椎间盘,盘内及椎旁间隙注射50μg/ml浓度的臭氧气体4～10ml,注射泼尼松龙40mg。结果2009年3月进行末次随访,随访率100%,随访时间为3～84个月,中位随访时间为38个月。总有效率77.1%,无任何严重并发症发生。结论经皮椎间盘及椎旁间隙臭氧注射术疗效可靠,安全。
Objective To observe the therapeutic efficacy of ozone injection in treating lumbar disc herniation.Methods One hundred and four patients with CT or MRI proved lumbar disc herniation, including 144 diseased lumbar discs, were enrolled in this study.The main complains were severe pain or numbness in the low back and lower limbs.Under the X-ray guidance, a 21 G needle was punctured into the disc, followed by an injection of 4-40 ml ozone（50 ug / ml） and 40 mg prednisolone acetate into intradiscal and paravertebral space.Results All patients were followed up for 3 to 84 months with an average time of 38 months.The last follow-up check was carried out in March of 2009.The total effective rate was 77.1%, with no occurrence of any serious complications.Conclusion The percutaneous injection of medical ozone into disc and paravertebral space is an effective and safe method for the treatment of lumbar disc herniation.
出处
《介入放射学杂志》
CSCD
北大核心
2010年第2期114-116,共3页
Journal of Interventional Radiology
关键词
腰椎间盘突出症
经皮椎间盘及椎旁间隙注射术
臭氧
lumbar disc herniation
percutaneous disc injection
paravertebral space
medical ozone
